Laparoscopic surgery in patients with locally advanced rectal cancer - short-term outcomes

Каприн, А. Д.; Иванов, С. А.; Erygin, D. V.; Rukhadze, G. O.; Nevolskikh, A. A.; Петров, Л. О.; Baranova, O D

doi:10.17116/hirurgia20190826

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…In the obese group, median follow-up was The present retrospective study was designed to assess the short-term surgical outcomes of laparoscopic surgery for obese patients with rectal cancer. Currently, the number of laparoscopic surgery has rapidly increased because of smaller skin incisions, reduced intraoperative bleeding volume, less pain, and earlier recovery of bowel movements, and the indications for laparoscopic surgery have been extended to include advanced cancer (Kaprin et al, 2019), but it is still generally assumed to be a difficult proposition, especially for obese patients. Many surgeons have generally thought that obesity might possibly increase operation time, intraoperative bleeding, and postoperative complications, so they are thus apt to hesitate about selecting laparoscopic surgery for a corpulent patient.…”

Section: Resultsmentioning

confidence: 99%

Short-Term Outcomes for Laparoscopic Surgery for BMI≥30 Patients with Rectal Cancer

Zhang

Liu

Chen

et al. 2021

Asian Pac J Cancer Prev

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Objective: Obesity is known to be a preoperative risk factor for rectal cancer surgery. This study aimed to investigate the influence of obesity on the surgical outcomes of laparoscopic surgery for rectal cancer. Methods: The clinical data of 356 patients with rectal cancer from Jan 2012 to Dec 2015 were analyzed retrospectively. Perioperative outcomes were compared between 48 patients with a BMI (body mass index) ≥30 kg/m 2 [obese group ] and 308 patients with a BMI≥30 kg/m 2 [non-obese group] who underwent laparoscopic surgery. Results: Operation times were significantly longer for the obese group than for the non-obese group (125.2±30.5 min vs. 180.5±58.2 min, P=0.021). There were no statistically significant differences between two groups in terms of intraoperative blood loss, the number of retrieved lymph nodes, postoperative recovery and postoperative complications (P≥0.05). During the follow-up period, the overall survival rates were not significantly different between the two groups [66.7% (32/48) vs 67.2% (207/308), P=0.787]. The differences in recurrence and metastasis between the two groups were not statistically significant. Conclusion: Our analysis revealed that laparoscopic surgery can be safely performed in patients with BMI≥30. The procedure was considered to be difficult but sufficiently feasible.

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Section: Resultsmentioning

confidence: 99%

Short-Term Outcomes for Laparoscopic Surgery for BMI≥30 Patients with Rectal Cancer

Zhang

Liu

Chen

et al. 2021

Asian Pac J Cancer Prev

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Advances in and Issues With Minimally Invasive Surgery for Rectal Cancer in Elderly Patients

Shiraliev

Половинкин

Murashko

et al. 2023

Innovacionnaâ medicina Kubani

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Colorectal cancer ranks third after breast cancer in terms of incidence and second after lung cancer in terms of mortality.Management of rectal cancer requires a multidisciplinary approach, with the surgical management playing the main role. There are currently three resective techniques that complement the traditional open surgery: laparoscopic surgery, robotic surgery, and transanal total mesorectal excision.Rectal cancer in elderly patients is particularly hard to diagnose and treat surgically due to multiple comorbidities and limited functional reserve. Treatment of such patients may be associated with poorer outcomes after both open and minimally invasive surgery.This article reviews the current state of advances in minimally invasive surgery for rectal cancer in general and in elderly patients in particular.

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Laparoscopic surgery in patients with locally advanced rectal cancer - short-term outcomes

Cited by 2 publications

References 7 publications

Short-Term Outcomes for Laparoscopic Surgery for BMI≥30 Patients with Rectal Cancer

Short-Term Outcomes for Laparoscopic Surgery for BMI≥30 Patients with Rectal Cancer

Advances in and Issues With Minimally Invasive Surgery for Rectal Cancer in Elderly Patients

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